NJMEA Summer Workshop 2014 Online Registration
Online registrations must be received no later than July 30, 2013. Please remit payment in the form of a check to the address provided on the workshop website. Registration fee BEFORE July 15 = $80       AFTER July 15 = $100.  
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Personal Information
Last Name *
First Name *
Street Address *
City *
State *
Zip Code *
Home Phone *
xxx-xxx-xxxx
Cell Phone *
xxx-xxx-xxxx
Email Address *
Please use an address that is checked regularly, especially during the summer months
Confirm Email Address *
Professional Information
Current School District *
Current Teaching Assignment *
Check all that apply
Required
Current Teaching Assignment Grade Level *
Check all that apply
Required
NAfME Number *
You MUST be a member of NAfME in order to participate - expiration date must be good through August 2013. You can go to  http://musiced.nafme.org/join   to register or renew.
NAfME Membership Expiration Date *
MM/YYYY
Workshop Interests
Please choose, in order of importance, which areas of the workshop interest you most. This will help us better meet the needs of our membership.
Choice #1 *
Choose ONE
Choice #2 *
Choose ONE
Choice #3 *
Choose ONE
Choice #4 *
Choose ONE
Choice #5 *
Choose ONE
If an instrumental reading and playing session were available, would you be interested in participating? *
If you selected YES above, which instrument would you play?
Do you plan to attend the Choral Reading Session (s)? *
If you answered YES above, which session to you plan to attend
Click all that apply
Would you like to be included on the Colleague Networking List? *
This list will be distributed to all workshop attendees and can be used to connect with colleagues in similar fields to gain resources, brainstorm, etc.
Form Submission Information
Please complete the registration fee agreement below
I plan on making a payment in the following form: *
Online credit card payments will be accepted until June 30th. Please return to the NJMEA.ORG website, click on Conferences and choose Summer Workshop to complete the payment process.
Required
I understand that registering BEFORE July 15 will cost $80. Registering AFTER July 15 will cost $100. I also understand that NO REFUNDS are available AFTER July 15th. *
Please submit payment to NJMEA Summer Workshop   c/o Sue Mark   3 MacKenzie Ct   Sewell, NJ  08080
Required
Please click submit only ONCE to avoid duplicate registrations. There is no need to send a hard copy of the registration form along with your payment. Please DO NOT send payments via certified mail.
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